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In severe cases, it may lead to Wernicke-Korsakoff syndrome, causing severe confusion and coordination problems

Neuropathy, in particular peripheral neuropathy, is a progressive degenerative nerve condition that affects approximately 300 million people globally

A more evidence-based way to evaluate whether something is helping is to track measurable outcomes with your clinician (for example, symptoms tied to confirmed deficiency, or objective metrics like body weight, waist measurements, and lab work when appropriate)

Earlier initiation may be appropriate in some cases, particularly when significant comorbidities persist

Contact your healthcare practitioner or a mental health expert, such as a psychologist